SUSAN BRADLEY DUNN DDS
NPI 1972624914
Dentist in Syracuse, NY

Q: What is Susan Dunn's NPI number?

The NPI number for Susan Dunn is 1972624914. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Q: What is Susan Dunn's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is Susan Dunn enrolled in Medicare?

No. Susan Dunn has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Susan Dunn was last updated on July 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 03, 2007Opted out of Medicare · through Oct 1, 2027

1304 BUCKLEY RD, SUITE 203, SYRACUSE, NY 13212(315) 474-1711(315) 474-4818 Get Directions Write a Review

NPPES record last updated: July 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Susan Bradley Dunn Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN BRADLEY DUNN DDS (NPI 1972624914) is an individual dentist in Syracuse, New York, licensed in New York (045257) and active in the NPI registry since April 2007. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1972624914

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameSUSAN BRADLEY DUNNCredential: DDS

Location Address1304 BUCKLEY RD, SUITE 203Syracuse, NY 13212-4311

Mailing Address1304 Buckley Rd, Suite 203Syracuse, NY 13212-4311 · (315) 474-1711 · Fax (315) 474-4818

Phone(315) 474-1711

Fax(315) 474-4818

Sole ProprietorNo

Enumeration DateApril 3, 2007

Last NPPES UpdateJuly 12, 2012

✔ NPI 1972624914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NY · 045257

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1304 BUCKLEY RD, Syracuse, NY 13212

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Susan Bradley Dunn Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2023 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2023

Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GORDANA OBRADOVIC M.D.

Internal Medicine (Nephrology)

1304 BUCKLEY RD, SUITE 200
SYRACUSE, NY 13212

Onondaga County (315) 478-3311

ELIAS S. ABBOUD O.D.

Optometrist

1304 BUCKLEY RD, STE 205
SYRACUSE, NY 13212

Onondaga County (315) 458-2020

DR. SIMARDEEP MANGAT MD

Internal Medicine (Nephrology)

1304 BUCKLEY RD
SYRACUSE, NY 13212

Onondaga County (315) 478-3311

MR. KENNETH R. GREEN M.D.

Internal Medicine (Nephrology)

1304 BUCKLEY RD
SYRACUSE, NY 13212

Onondaga County (315) 478-3311

DR. RICHARD T KOPECKY M.D.

Internal Medicine (Nephrology)

1304 BUCKLEY RD
SYRACUSE, NY 13212

Onondaga County (315) 478-3311

DR. ROBYN M WENMAN DDS

Dentist (General Practice)

1304 BUCKLEY RD, SUITE 203
SYRACUSE, NY 13212

Onondaga County (315) 474-1711

MARCIA H RYDER N.P.

Nurse Practitioner

1304 BUCKLEY RD
SYRACUSE, NY 13212

Onondaga County (315) 478-3311

CHELSEY AZER NP

Nurse Practitioner (Family)

1304 BUCKLEY RD
SYRACUSE, NY 13212

Onondaga County (315) 671-5790

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Dunn's NPI number?

The NPI number for Susan Dunn is 1972624914. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Susan Dunn located?

Susan Dunn practices at 1304 Buckley Rd Suite 203, Syracuse, NY 13212. The listed phone number is (315) 474-1711.

What is Susan Dunn's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Susan Dunn enrolled in Medicare?

No. Susan Dunn has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Susan Dunn was last updated on July 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.